Enrolment & contact information form
To enrol your child there is a Membership and insurance Paid annually £25.00.
For the existing members next membership payment will be due in September.
* Required
CHILD'S /NAME, SURNAME/
*
Your answer
DATE OF BIRTH
*
MM
/
DD
/
YYYY
AGE
*
Your answer
PLEASE TICK ATTENDING DATE
*
Tuesday
Wednesday
Thursday
PLEASE TICK ATTENDING HOUR
*
Choose
9:30-10:15 am
10:30-11:15 am
1:45-2:30 pm
3:45-4:30 pm
4:30-5:30 pm
HOME ADDRESS
*
Your answer
POST CODE
*
Your answer
HOME TELEPHONE NUMBER (+CODE)
Your answer
KNOWN MEDICAL CONDITION
*
N/A
Other:
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